Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Caribbean Lunch Distribution, Saturday February 20 from 2 - 4pm
In commemoration of Black History Month, Issamba Centre is providing a free Caribbean lunch to our members on Saturday, February 20 2021 from 2 - 4pm at our Centre (2722 Fifth Street, Victoria BC).
This delicious meal is being catered with the best COVID-19 protocols and the same protocols will be enforced during pick-up ie wearing a mask, one group at a time in the office, social distance.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Email
*
Your answer
Phone number
*
Your answer
Address
*
Your answer
Country of origin?
*
Your answer
Number of people in your household?
Your answer
I understand that I will have to follow specified COVID-19 protocols during pickup
*
Yes
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
